Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA KOTULA, PMHNP
Active Sole ProprietorLISA KOTULA, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in HARRISON TWP, Michigan. NPI 1639912298 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · HARRISON TWP, MI
Registration Details
- NPI Number
- 1639912298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2024 (2.1819603807573 yrs)
- Last Updated
- Jun 13, 2024
- License
-
4704212792 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25912 ASHBY DRHARRISON TWP, MI, 480453081Browse MI providers · Browse ZIP 48045
- Phone
- 5862426623
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.